Recurrent Glioblastoma Redo Craniotomy Radiation Therapy

Sample Opinion // Neurosurgery // Multifocal Recurrent Glioblastoma // Redo Craniotomy Surgery // Radiation Therapy // Treatment in India

The reports suggest that the patient is a known case of Glioblastoma (GBM). He has already undergone surgery and has been offered recurrent Chemotherapy and Radiation. The clinical summary shared shows possibly a recurrent tumour.

Glioblastoma (GBM) is the most common and aggressive type of primary malignant brain tumour, originating from supportive glial cells (astrocytes) and rapidly invading healthy brain tissue, often in older adults. Multifocal glioblastoma (GBM) involves multiple tumour spots in the brain that have a presumed microscopic connection, often spreading through white matter tracts, cerebrospinal fluid (CSF), or meninges.

We will need to confirm the diagnosis by doing some investigations.

The investigations needed: MRI brain, PET-CT, and other routine tests.

Possible line of treatment – He may need either a redo craniotomy surgery or radiation therapy. There is a slight possibility that he may even need both modalities.

A craniotomy for glioblastoma is standard surgery to remove as much of the aggressive brain tumor as safely possible, involving temporarily removing skull bone, often using advanced techniques like awake craniotomy with brain mapping to protect vital functions and maximize tumor removal, which improves outcomes by debulking the tumor for subsequent radiation and chemotherapy. Surgeons aim for maximal safe resection, even if total removal is impossible, using tools like fluorescent dyes to highlight the tumor and real-time monitoring to preserve speech, movement, and other functions.

We would recommend the following hospitals with top Neurosurgeons for the patient:

1. Max Healthcare, Gurugram // Dr. Arun Saroha
 Kindly have the virtual tour of the hospital via the link – https://pin.it/2sWwqfts

2. BLK-Max Super Specialty Hospital, New Delhi // Dr. Anil Kumar Kansal
 Kindly have the virtual tour of the hospital via the link – https://pin.it/1Ji84QapI

3. Artemis Hospital, Gurugram // Dr. Aditya Gupta
 Kindly have the virtual tour of the hospital via the link – https://pin.it/1bs51UAGE

4. Amrita Hospital, Faridabad // Dr. Anandh Balasubramaniam
 Kindly have the virtual tour of the hospital via the link – https://pin.it/6VWWsyyzq

5. Sarvodaya Healthcare, Faridabad // Dr. Yawar Shoaib Ali
 Kindly have the virtual tour of the hospital via the link – https://pin.it/6VWWsyyzq

Estimated cost:

The estimated cost of evaluations will be approx. USD 500-700 on OPD basis.

The Estimated Cost of Surgery (Craniotomy and Excision) at various hospitals is as below: –

Kindly Note: The above rates are on approximate basis; actual charges will depend upon the final plan confirmed on the basis of medical evaluation at the hospital.

Stay in India: The patient will require 3-5 days for initial evaluations on an OPD basis and will require 4-5 days of hospitalization for surgery. Post-discharge, the patient may require 10-15 days for follow-up and recuperation. Total Length Stay in India will be approx. 3-4 weeks. In case radiation therapy is required, his visit may extend by 4 weeks.

Inclusions:

1. The cost of all investigations related to the surgery (craniotomy and excision)

2. The cost of the treatment.

3. The doctor’s fee and surgery charges.

4. The stay of the patient and 1 attendant during hospital admission.

5. All meals for the patient and the attendant as per the available menu while in hospital.

6. Medical Consumables and Medicines while in hospital.

7. The fee for dietician and nursing while in hospital.

8. It also includes complimentary Airport Transfers, Forex Services, and assistance.

9. Radiation Therapy will be administered as a day care procedure.

Exclusions:

1. Any consultation other than in discussion.

2. Extended stay

3. Treatment for any other illness

On Arrival: The patient and patient’s attendants will be received at the airport by our Representative. Apart from the medical and nursing team, one Case Manager will take care of all the needs. We shall also assist them with reasonably charged accommodation near the hospital. The patient and attendant may arrange 35-50 USD per day toward accommodation and food at the guest house. Hope I have been able to give you a satisfactory answer to the query. Do kindly ask for any clarifications needed. I will be happy to answer & shall look forward to assisting you.

Regards,

Nikky